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HSU Forms

Employee

Form Number Title/Detailssort icon Department Direct Link To Form
Workers' Compensation for Students Human Resources
Work Request Form Facilities Management
Whistleblower Complaint Form Human Resources
W-4 W-4 - Employee's Witholding Allowance Certificate Human Resources

http://www.irs.gov/pub/irs-pdf/fw4.pdf

W-2 (replacement request) Human Resources

http://www.sco.ca.gov/ppsd_empinfo_dpw-2.html

Voluntary Self-Identification For Applicants Human Resources
Unit 4 - APC (Academic Professionals of California) - Annual Employee Evaluation Human Resources
Travel Expense Claim Financial Services

http://www.humboldt.edu/univtravel/

Student Wage Schedule Human Resources
BS-FS-024A Student Award Request Form Financial Services
PR 19 Student Assistant Time Voucher Payroll

http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html

Student Assistant Performance Evaluation Human Resources
Student Affairs Position Justification and Budget Verification Office of the Vice President, Student Affairs
Student Affairs Leave Request Memo Office of the Vice President, Student Affairs
STD 270 Report of Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std270.pdf

268 STD 268 Report of Non-Vehicle Accident Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std268.pdf

261 STD 261 Authorization to Use Privately Owned Vehicle Contracts, Procurement and Risk Management

http://www.documents.dgs.ca.gov/osp/pdf/std261.pdf

SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Human Resources
Staff Evaluation Forms Human Resources

http://www.humboldt.edu/hsuhr/employee/evaluation/index.html

SPF: Title III and V Eligible Institution, Waiver of the Non-Federal Share Matching Requirements Sponsored Programs Foundation
SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation
SPF voluntary 403 (b) salary reduction agreement Sponsored Programs Foundation
SPF Travel Expense Claim Sponsored Programs Foundation
SPF SUMMER Student Time Sheet 2014 Sponsored Programs Foundation
SPF Student Time Sheet 2014 Sponsored Programs Foundation
SPF Student Funding Opportunities: How You Can Help Them Find Support Sponsored Programs Foundation
SPF Special Lecturer/Honorarium & Non-Student Stipend Form Sponsored Programs Foundation
SPF Separating Employee Clearance Form Sponsored Programs Foundation
SPF Request for Release Time Form: Appendix A Sponsored Programs Foundation
SPF Purchasing Policy Sponsored Programs Foundation
SPF Purchase Request Form Sponsored Programs Foundation
SPF Predesignation of Personal Physician Sponsored Programs Foundation
SPF Position Description Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Manual Sponsored Programs Foundation
SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation
SPF Payroll Schedule 2014 Sponsored Programs Foundation
SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation
SPF NSF Funding Guide Sponsored Programs Foundation
SPF NON-STUDENT Time Sheet 2014 Sponsored Programs Foundation
SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation
SPF Monthly Absence Report Sponsored Programs Foundation
SPF Lost Receipt Form Sponsored Programs Foundation
SPF Level of Effort Certification 2014 Sponsored Programs Foundation
SPF Job Duty Evaluation Checklist Sponsored Programs Foundation
SPF International Travel Insurance Sponsored Programs Foundation
SPF Institutional Routing and Authorization Form Sponsored Programs Foundation
SPF Indirect Rate Policy Sponsored Programs Foundation
SPF Health Insurance Marketplace Employee Notice Sponsored Programs Foundation
SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation
SPF Guidelines - Voluntary 403 (b) plan Sponsored Programs Foundation
SPF Financial Statements Audit 2011 Sponsored Programs Foundation
SPF Employment - SBDC Office Manager Sponsored Programs Foundation
SPF Employment - Research Associate (Post-Doc) Position Sponsored Programs Foundation
SPF Employment - Business Development & Marketing Specialist Sponsored Programs Foundation
SPF Discrimination Complaint Form Sponsored Programs Foundation
SPF Confidentiality Form Sponsored Programs Foundation
SPF Close Relative Disclosure Form Sponsored Programs Foundation
SPF Budget Template Sponsored Programs Foundation
SPF Budget Guidebook Sponsored Programs Foundation
SPF Authorization to Release Medical Records Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2013 Sponsored Programs Foundation
SPF Audited Financial Statements, period ending June 30, 2012 Sponsored Programs Foundation
SPF Appointment Document Sponsored Programs Foundation
SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation
SPF Accomodation Request Form Sponsored Programs Foundation
SPF 700-U Form (Conflict of Interest) Sponsored Programs Foundation
SPF 403(b) defined contribution (DC) plan summary Sponsored Programs Foundation
PR 43 Special Consultant Time Voucher Payroll
Special Consultant Request Instructions Human Resources
Special Consultant Request Human Resources
SS-5 Social Security: Replacement card/name change application. Human Resources

http://www.ssa.gov/online/ss-5.html

Separating Management Clearance Form Human Resources
Separating Employee Clearance Form Human Resources
Separating Employee Checklist for Digital Resources Information Technology Services
Secure Destruction E-Waste Collection and Chain of Custody Form Financial Services
RM - Field Trip Sign Out Release Agreement Contracts, Procurement and Risk Management
RM - Field Trip Participant Roster Contracts, Procurement and Risk Management
001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development
Required Notification for Employees Not Covered by Social Security (SSA-1945 Form) Human Resources
Request For Record Information University Police Department
Request for International Travel Financial Services
Request for Authorization to Travel (Domestic travel) Financial Services
Form 109 Report of Separation for Staff - Please print on green paper Human Resources
HSU 71 Report of Missing Property Form Financial Services
Form 104 Report of Appointment for Staff Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=141:DOC1

Rental Vehicle Request Form Facilities Management
Rehired Annuitant Certification Human Resources
Property Management Transaction Form Financial Services
ProCard Lost Receipt Memo Contracts, Procurement and Risk Management
Privacy Notice - Employee Assistance Program Human Resources
Position Description/Classification Guide Human Resources

http://www.humboldt.edu/hsuhr/employee/position/description.html

Position Description Form Human Resources
Position Change Form Human Resources
Pool Vehicle Request Form Facilities Management
Petty Cash form Financial Services
Performance Pay Salary Increase Recommendation - Unit 4 Human Resources

http://www.humboldt.edu/hsuhr/employee/information/unit4.html

Payment Request Form Financial Services
Password Group Setup form (Aging) Information Technology Services
Outgoing International Wire Request Financial Services
ORSP Newsletter Spring 2012 Sponsored Programs Foundation
ORECD Org Chart Sponsored Programs Foundation
Model Release (4 per page) Marketing and Communications
Model Release Marketing and Communications
Lost Receipt Memo Financial Services
Letterhead Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

IRB Registration Sponsored Programs Foundation
IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Implementaion of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Full Board Review SCHEDULE 14-15 Sponsored Programs Foundation
IRB Consent Checklist Sponsored Programs Foundation
IRB Application for Review Sponsored Programs Foundation
PR 8 Intermittent Hourly Time Voucher Payroll
PR8 Intermittent Hourly Time Voucher Payroll
Instructions to Complete Digital Signature on Position Change Form Human Resources
PR 55 Informal Leave Without Pay Payroll
Incident Report Form Office of the Vice President, Student Affairs

https://publicdocs.maxient.com/reportingform.php?HumboldtStateUniv&layou...

In-Range Progression Request Form Human Resources
HSU Wireless Device Reimbursement Rates Financial Services
HSU Volunteer Form Processing Instructions Human Resources
HSU Volunteer Form Human Resources
HSU Overview of Reasonable Accommodation Human Resources
HSU Job Duty Evaluation Checklist Human Resources
HSU Guidelines for Evaluating Impairments Human Resources
HSU Green and Gold Calendar for 2012-2013 Payroll Department
HSU Green and Gold Calendar for 2011-2012 Human Resources
HSU Green and Gold Calendar for 2010-2011 Human Resources
HSU Confidentiality Agreement for Employees, Consultants, and Independent Contractors Human Resources
HSU Centennial Letterhead Template (MS Word) Marketing and Communications

http://www.humboldt.edu/marcom/campusResources.php?section=templates

HSU Authorization to Release Medical Records Human Resources
HSU Authorization for Business-Related Wireless Device Financial Services
HSU Accommodation Request Form Human Resources
HSU - Release of Liability Contracts, Procurement and Risk Management
Housing & Dining Services Separating Employee Clearance Form Human Resources
STD 236 Hotel/Motel Transient Tax Waiver Financial Services
Grant Furlough Exemption Form Human Resources
Fee Waiver Application-Self Academic Personnel Services and Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:11

Fee Waiver Application-Dependent Academic Personnel Services and Human Resources

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:10

920 Fee Waiver Application - Faculty Self Academic Personnel Services

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:11

925 Fee Waiver Application - Faculty Dependent Academic Personnel Services

https://accountcenter.humboldt.edu:4443/p/r/f?p=137:10

Every Step Counts! Campus Map Human Resources
PR 11 Evening and Night Shift Differential Time Voucher Payroll
Establish Petty Cash or Change Fund Form Financial Services
EO 1074 Student Affirmative Action Complaints Actions Resources Table Human Resources
Envelope Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

Employee/Student Verification of University Employment Facilities Management
105 EMPLOYEE INFORMATION FORM (EIF) Human Resources
Employee Fee Waiver-Frequently Asked Questions Human Resources
I-9 Employee Eligibility Verification Human Resources

http://www.uscis.gov/files/form/i-9.pdf

Employee Assistance Program (EAP) Human Resources
STD. 686 Employee Action Request (EAR) Human Resources
EHOS Hot Work Permit Program Environmental Health and Occupational Safety
EHOS Ergonomics Program Human Resources
STD 436 DUPLICATE WAGE AND TAX STATEMENT REQUEST Payroll
Discrimination Complaint Resources Human Resources
Direct Pay form Financial Services
STD-699 Direct Deposit Form Human Resources
Direct Deposit for Employee Reimbursements Financial Services
Designated Positions Human Resources
HR 2005-26 CSU Volunteer Policy Human Resources
CSU Volunteer Identification Form Facilities Management

http://www.humboldt.edu/forms/node/350

CSU Family Medical Leave (FML) Human Resources
CSC Campus Change Report 2010-2011 Change Steering Committee
003G Controlled IT Spaces Visitor Log Information Technology Services
003D Controlled IT Spaces Access Control List Information Technology Services
003C Controlled IT Spaces Access Authorization Form Information Technology Services
Confidentiality Statement for Academic Professionals (Unit 4) Human Resources
Check Request form Financial Services
Certified Wipe Media Label Information Technology Services
PR 64 Casual Worker Time Voucher Payroll
Career Development Plan Human Resources
Business Card Order Form Marketing and Communications

http://www.humboldt.edu/marcom/printServices.php?section=stationery&cate...

STD 261 Authorization to Use Privately Owned Vehicle Financial Services
Authorization for Off-Campus Use of Equipment Form Financial Services
Application Procedures for Leave of Absence without Pay Human Resources
107 Application for Leave of Absence Human Resources

http://humboldt.edu/hsuhr

APS Application for Academic Employment Academic Personnel Services
Alcohol Approval Request Office of the Vice President, Student Affairs
APS Form 510 Advice of Separation: Lecturer, FERP, Temp Librarian, TA & GA Academic Personnel Services

http://www.humboldt.edu/aps

APS Form 610 Advice of Separation: Instructional Student Assistants Academic Personnel Services

http://www.humboldt.edu/aps

APS Form 515 Advice of Separation: Coaches Academic Personnel Services

http://www.humboldt.edu/aps

Acknowledgement of Mandated Reporter Status and Legal Duty to Report Child Abuse and Neglect (EO 1083) Human Resources
Access Request Form (ARF) ITS Administrative Support
PR 54 Absence Excess Hours Holiday Worked Payroll
3rd Annual PI Celebration! Sponsored Programs Foundation
Job Submission Form Marketing and Communications

http://www.humboldt.edu/marcom/workRequest_part1.php